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Can someone explain "restriction" to me?

Hellooooooooooo.

I'm Jacquie. I'm getting a gastric sleeve on the 21st. I've been cautiously researching stuff. Quick sidebar-I had a double mastectomy a few years ago thanks to a cancer scare, and I didn't know about the "drains" until a week before I got the surgery. Had I known earlier, there's no way I would have gone through with it and I probably wouldn't be here today.

Anyway , in the interest of not scaring myself out of this, I'm wondering if someone could explain the "restriction" thing, bearing in mind that if it's too gross I will have nightmares. :)

Thanks!

Edited by jacquiecdv

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  • Restriction to me is the emotional or mental feeling of wanting to eat a whole pizza but after a few bites, you feel you have had enough. The build up to the point is different to everyone. Everyone

  • Restriction for me is simply feeling stomach bubbles & a bit of tightness on my chest but not in a scary way. Its just my bodies way of telling me I'm getting full. Nothing scary or gross!

  • Sleeve_Me_Alone
    Sleeve_Me_Alone

    As others have said, how you experience restriction will be different than others - it varies widely from person to person. For me, I feel chest pressure. No pain, nothing uncomfortable, but its defi

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11 hours ago, jacquiecdv said:

Yes, I heard. Actually the idea of the drain was worse than they actually were when I had my mastectomy. More than anything I was concerned that "restriction" was something like non-stop bowel distress or vomiting.

I did not have any drains after surgery. From what I understand, they are RARELY used for VSG - more common for RNY or SADI.

  • Author

Well, I'll be getting one drain that will just be in overnight. It'll be unplugged the following morning. To prevent, my surgeon joked, my having to "slosh around,"

  • Author
8 hours ago, Helen Bauzon said:

One of the biggest mis-understandings or hope to achieve post weight loss surgery, is that the surgery will force the individual to stop on a certain amount of food, or restrict the.

This is not the goal of surgery long term. Short term sure, swelling can provide false sense of restriction. However surgery has a stretch factor.

If it is helpful for you, I have created a 20min master class video comparing all surgeries and how to get the most out of each surgery regrading appetite and portion support control.

The following link will help you watch the video https://helen-bauzon1.aweb.page/p/776a1a9a-fd05-4851-a838-208a39db2975

Feel free to clarify any questions

Thank you. That video was very informative. One week till surgery, and I'm nervous but ultimately very excited.

  • Author
10 hours ago, The Greater Fool said:

This is not as fun as it sounds

I imagine not. (rueful laugh)

On 12/14/2022 at 6:47 AM, kcuster83 said:

I did NOT have drains after WLS.

Depends on the surgeon.

I didn’t have any either. I think maybe it depends on what happens during your surgery to warrant them.

On 12/13/2022 at 4:30 PM, Sunnyway said:

I hope you know that there will be a drain or drains following your bariatric surgery! I found them uncomfortable but bearable.

I did not have any drains after my surgery at all. I had the sleeve though i guess that may be a difference in the need for the drain(s)?

No drains for my sleeve either. I also work in an OR and do bariatric surgery and have never seen a drain have to be placed after. I’m in the US so maybe it varies in other countries or maybe even US states. But I’m my experience I haven’t seen them have to be placed.
On 12/14/2022 at 06:12, Sandra01C.Decker said:






But... how to avoid that?


You are very encouraged to chew your food until it is like applesauce. Also when in the different food stages sauces and a higher moisture content helps the food go down easily, especially if you are recovering from additional hiatal hernia surgery. I tend to weight and measure my food, but also work to eat slowly so that I hear and feel my body’s satisfied signals. Listening to my body is still something I’m learning about every day.
On 12/14/2022 at 10:30 AM, Sunnyway said:

I hope you know that there will be a drain or drains following your bariatric surgery! I found them uncomfortable but bearable.

I didn't have any drains

No drains here either (sleeve). Hope your surgery went well OP and you're out the other end now.

On 12/14/2022 at 5:12 AM, Sandra01C.Decker said:
On 12/13/2022 at 12:57 AM, jacquiecdv said:

Ok. So it's not necessarily eating one bite too much and projectile vomiting for an hour. Thank you. Sounds a bit more mellow than I imagined.

But... how to avoid that?

There should be no "projectile vomiting". The moment you have the merest inkling that you've had "enough", stop eating. This is a subjective feeling. If you feel your saliva increase, stop. If you feel a tightness in your chest (which is where the pouch is located, not lower in your belly), stop. Do not eat to "fullness". Immediately post-surgery is when you will learn how to eat differently. It's very important to take advantage of this.

If you feel plugged up, you can put your finger or the bowl of a spoon at the back of your throat and up-chuck into the kitchen sink. It's NOT projectile vomiting. It's not bulimic vomiting--it just clears out the overfull pouch that is causing the meal contents to back up into your esophogas. It's not vomiting at all--there is no bile. It's just the masticated food you last ingested. Deliberate up-chucking will give you relief. However, repeated up-chucking can stretch the pouch, so take heed and stop eating before you reach the point of discomfort.

  • 2 weeks later...
On 12/14/2022 at 5:12 AM, Sandra01C.Decker said:

" Ok. So it's not necessarily eating one bite too much and projectile vomiting for an hour. Thank you. Sounds a bit more mellow than I imagined."

But... how to avoid that? 

It's unlikely that you would ever projectile vomit. If you overeat and get uncomfortable you may make yourself up-chuck to bring it up. A finger or spoon at the back of your throat will trigger the gag reflex and help you bring it up.

  • 2 weeks later...
Same as others I feel the chest tightness when I eat too much or more often too much, too quickly. Before surgery I imagined it would be a stuffed full feeling in my stomach like Thanksgiving dinner but instead it’s mild chest tightness like acid reflux.

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